| NPI | 1598951543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SASA PERISKIC President 781-662-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MA 203186) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 203186) |
| Enumeration Date | 2007-09-23 |
| Last Update Date | 2019-01-02 |